Andrew McNally, William Marlow, Stephen Lipscombe Background: VTE prophylaxis practice varies between/within hospitals. There is poor consistency particularly in treating NWB patients immobilised in casts. This inconsistency was previously demonstrated in an initial audit. The solution had been to implement a protocol based on national guidelines. Methods: A retrospective analysis of 40 patients was conducted […]
Nicholas Howard, Simon Platt, Christopher Cowan, Michael Hennessy , Gillian Jackson Background: Previous studies have shown poor patient comprehension during the consenting process. Improving the readability of consent form documents and patient information leaflets have been recommended. Readability of these documents were compared with novel patient specific letters introduced to the consent process to observe […]
Marieta Franklin, Nicholas Boyce-Cam Background: In 2016, NICE called for research comparing Virtual Fracture Clinic (VFC) to the traditional face-to-face fracture clinic model. The Mid Cheshire Hospitals NHS Foundation Trust serves approximately 300,000 people. In 2014-5 its Fracture clinic saw 5577 new and 7085 follow-up appointments. Our aim was to evaluate the patient reported experience […]
Fagir M, Javed S, Gheorghiu D, Torrance E, Monga P, Funk L, Walton M Background: Posterior and combined shoulder instabilities have been reported as accounting for only 2% to 5% of cases. More recently an increased incidence of posterior instability has been reported. We aim to assess the incidence in a large cohort of patients […]
H J Iqbal, A Doorgakant, N N T Rehmatullah, A Ramavath, P Pidikiti, S Lipscombe Open carpal tunnel decompression (CTD) is one of the most common procedures in orthopaedics and is routinely performed under local anaesthetic using an arm tourniquet. The use of tourniquet is no longer considered routine by many surgeons. Methods: We conducted […]
MLT Jayatilaka, M Argyropoulos R Parmar, I Guisasola , M Kent, MG Smith, J Gibson, P Brownson Background: Traumatic dislocation of the glenohumeral joint is the most common joint dislocation. Our aim was to evaluate and improve our unit’s management of this patient group. Method: An audit of management of 36 consecutive first time anterior […]
Graeme Wilson, Jochen Fischer Background: Shoulder dislocations are a common presentation to Accident & Emergency Departments and their management after initial reduction is important for long term morbidity. There are guidelines published by the British Elbow & Shoulder Society (BESS) regarding the management of these injuries. All patients under 25 years should have early specialist […]
David H Hawkes, Omid Khaiyat, Ahmed T Makki, Graham J Kemp, Jo Gibson, Simon P Frostick Background: Shoulder pain from impingement syndrome is common and can have a negative impact on patients’ quality of life. A recent multi-centre randomised control trial has questioned the role of surgery in favour of a conservative approach. However, current […]
Miss Laura Bowen, Miss Neala Glynn, Background: Supracondylar humeral fractures are a common injury seen in children. There is a risk of significant complications including nerve injury, vascular compromise, compartment syndrome and clinical deformity. They can be difficult to manage. BOAST (British Orthopaedic Association Standards for Trauma) published guideline 11 in 2014 which lists criteria […]
Benjamin-Laing H, R. Everett, J. Carter, N. Garg Background: The accessibility of information on the internet and social media has increased patient and carer access to healthcare information. Whilst previously patients were fully reliant on healthcare professionals to provide the most up to date information about their care, they are now able to access this […]